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Volume XXVIII, No. 11 - August 16, 2021

Insurers Get Aggressive with Years-Old Audits, Searching for Lab Overpayments

TDR Insider / By

This is an excerpt of a 1,971-word article in the July 26, 2021 issue of  THE DARK REPORT (TDR). The full article is available to members of The Dark Intelligence Group. CEO SUMMARY: Not only are health insurers looking back to find lab overpayments and funds paid erroneously, but payers also are requiring documentation for …

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What Labs and Pathology Groups Can Expect in 2022

Commentary and Opinion by R. Lewis Dark / By

IN RECENT WEEKS, OUR EDITORIAL TEAM has been developing session topics and speakers for the upcoming Executive War College Presents: Preparing Your Clinical Laboratory and Pathology Group for Post-Pandemic Success, which happens on Nov. 2-3, 2021. It has been an eye-opening process because of how many forces for change are at work. This is true …

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Insurers Get Aggressive with Years-Old Audits

Laboratory Billing / By

CEO SUMMARY: Not only are health insurers looking back to find overpayments and funds paid erroneously, but payers also are requiring documentation for overpayments. If clinical labs and anatomic pathology groups do not appeal such claims quickly, they may be liable for any amount insurers deem to be overpayments, experts said. Health insurers also are …

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Record 600 Pathologist Jobs Open Nationwide

Pathology Trends / By

CEO SUMMARY: Demand for top-level pathologists is surging. A strong rise in the number of job openings for pathologists results from a combination of factors, some related to COVID-19. Now that physicians are seeing patients again, the number of specimens has risen after falling last year, creating demand for new hires, a consultant said. The …

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Many Patients in United Kingdom Not Getting Speedy Diagnosis

Pathology Trends / By

RECENT NEWS REPORTS IN THE UNITED KINGDOM indicate that the COVID-19 pandemic has exacerbated the ongoing problem of lengthy delays in diagnosis of patients within the National Health Service (NHS). This is particularly true of delays for patients waiting on results of their cancer tests.  Currently, approximately 5.3 million patients are on a waiting list …

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India’s Neuberg Diagnostics Expands into U.S. Market

Clinical Laboratory / By

“Our idea is to enhance the access and affordability for next-generation techniques, meaning molecular diagnostics, genomics, pathology, digital pathology, proteomics, metabolomics, and all that. This is the spirit behind Neuberg Diagnostics. —GSK Velu, PhD, BPharm CEO SUMMARY: India is a nation where 50,000 pathology labs operate to serve the clinical laboratory testing needs of 1.4 …

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COVID-19 Lab Test Prices Give Some Health Plans ‘Indigestion’

Managed Care Contracts / By

HEALTH INSURANCE PLANS CONTINUE TO  BE UNHAPPY with the higher prices they are charged for COVID-19 tests by out-of-network clinical laboratories. That is one theme in a report on COVID-19 test prices published by a health insurance trade group.  In its report issued last month, the America’s Health Insurance Plans (AHIP) wrote, “price gouging in …

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August 16, 2021 Intelligence: Late-Breaking Lab News

Late Breaking Lab News / By

Elizabeth Holmes, the disgraced ex-CEO of the now-defunct Theranos, continues to be in the news. In the past several weeks, news reports indicate that she gave birth to a child, but whether it is a boy or a girl has not been reported. Also in recent weeks, attorneys have been in court arguing about unsealing …

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